I have an underbite w/nasal dorsal hump and deviated septum (s shape). Would rhinoplasty make underbite less noticeable? (photo)

Question

I recently had a lip injection to try and balance out the underbite and make it less noticeable. If I had a septorhinoplasty and they made my tip smaller and removed the bump, would the underbite look less noticeable? My nose is also crooked from the deviated septum. How could they fix my nose to balance out the underbite?

Suleyman Tas, MD, FEBOPRAS · Answer

Hello,Thank you for your question. A physical examination by an experienced Board Certified Plastic Surgeon can provide best options for you. Since a nose is the most prominent part of your face rhinoplasty may have a significant impact on the whole face including your chin. This way, you may decide whether you want any chin intervention or not. Better photos could be helpful for the evaluation of your case. You may benefit from setting your nose to the middle and refinement of the tip. Breathing issues can be fixed at the same time. You can utilise my own techniques for detailed information. The Dorsal Roof Technique protects the dorsal anatomy but fixes the deformity and moreover, supports your dorsum by using the excessive tissue instead of excision. The ST FLAP TECHNIQUE protects the anatomy, supports the weak parts and reshapes the tip.  
  
A beautiful and natural looking nose, that suits your face can be achieved by the help of the Closed and Atraumatic Rhinoplasty, which minimizes swelling and bruises, maximizes healing, prevents tissue damage and eliminates a scar on the columella. To find out more similar cases like yours please click on the attached link.  
  
Best Regards

Steven M. Denenberg, MD · Answer

It doesn't look like your underbite is particularly severe, so if the rhinoplasty removes some features that you don't like about your profile, that by itself might make you dislike that profile less, and thus the underbite wouldn't bother you as much.The photos you posted were cropped, so I can't really see the bump, or how the bump blends in with the top of the nose and the forehead -- those areas are very important for planning a rhinoplasty.You could also consider a chin implant -- that could help balance out the profile, and again, draw attention away from the underbite. Chin implants are just incredibly predictable and safe nowadays.
I'd love for you to see some excellent professionally-designed morphs of what could possibly be done with your nose. Morphs could also help you identify what's bothering you, and help you set a goal for the rhinoplasty that's accurate for your tastes. Full face photos, with three-quarter views as well would be particularly important in morphing your nose. (Side note: in my opinion, morphs should always be done by the surgeon, or he should direct an assistant as she makes the morphs. Morphs should be made with a constant eye to what actually *can* be done in surgery, for that particular nose, and only the surgeon has that information and judgment.)
Remember that rhinoplasty is an exquisitely difficult operation to get right, and you should only have surgery if you are able to make yourself very confident in your surgeon's skills. The changes that your nose needs require advanced techniques, requiring skill that most plastic surgeons don't possess with expertise. For most noses, it's much better to not have surgery than to have inexpertly-performed surgery. Read my essay on how to stay out of trouble while selecting a rhinoplasty surgeon. 
Your nose is also a perfect example of why computer imaging is mandatory in rhinoplasty. You need to know exactly what the surgeon is planning to accomplish -- what features he thinks he can change, and by how much he thinks he can change them. I always email morphs to my online rhinoplasty consultations. When you see the surgeon's goals in the morphs, you'll know whether he has an eye for an attractive nose, and whether he shares your opinion of what constitutes an attractive nose. You'll also know whether the changes he proposes are large enough to be meaningful to you, and whether he understands your wishes enough to address all of your priorities. How would you ever get that figured out without the morphs?

Tarek V. Copty, MD, FACS · Answer

Dear Princesse89, Generally speaking when Rhinoplasty is done properly. The face esthetics become much more harmonious. The eyes appear larger, so do the lips. There is less focus on the nose since it becomes smaller and has smoother outlines. So yes it will make the entire face look better and you can see that by looking at before and after pictures. Also, a chin implant will add to that effect and almost completely resolve any deficiency in the projection of your chin. Please note the chin implant will not effect your teeth occlusion. 
Best Regards, 
Tarek V. Copty, MD FACS
American Board of Surgery American Board of Cosmetic Surgery Jordanian Board of Plastic & Reconstructive Surgery Fellow, American College of SurgeonsFellow, American Academy of Cosmetic Surgery Fellow, International Society of Aesthetic Plastic Surgeons

Mehdi Sina, MD · Answer

Hi,The best way to improve the balance of the lower 1/3 of the face is with a chin implant. You have a retrusive chin and an implant will advance the chin and harmonize the chin, cheek and nose. Many practices can show you the anticipated result with morphing software so you can preview the surgical results.Best,

Richard W. Fleming, MD (retired) · Answer

A reduction rhinoplasty with lifting of the columella (the strip between the nostrils) and a chin implant would improve lower facial proportions and make under-bite less noticeable.

I have an underbite w/nasal dorsal hump and deviated septum (s shape). Would rhinoplasty make underbite less noticeable? (photo)

Answers (5)

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